Reconstructive Principles for the Metacarpal Hand: Case Report
Metacarpal hand is one of the most devastating upper-extremity lesions. We report a case of a multidigit amputation corresponding to a Wei et al.5 IA metacarpal hand in a 56 year-old-male. He underwent a sequential toe-to-hand transfer to the third and fourth radii. Reconstruction of the metacarpal...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2021-11-01
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| Series: | Revista Iberoamericana de Cirugía de la Mano |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731769 |
| _version_ | 1819181177874939904 |
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| author | Iker Miguel Escuredo Guillermo Ibarrondo Arzua Juan José García Gutierrez |
| author_facet | Iker Miguel Escuredo Guillermo Ibarrondo Arzua Juan José García Gutierrez |
| author_sort | Iker Miguel Escuredo |
| collection | DOAJ |
| description | Metacarpal hand is one of the most devastating upper-extremity lesions. We report a case of a multidigit amputation corresponding to a Wei et al.5 IA metacarpal hand in a 56 year-old-male. He underwent a sequential toe-to-hand transfer to the third and fourth radii. Reconstruction of the metacarpal hand, either in an acute or deferred presentation, must consider some reconstructive principles, including the identification of the structures to be spared and the coverage strategies for the acute stage. Toe-to-hand transfer is the preferred technique when replantation is not an option. It is critical to know which structures should be transferred to which positions, as well as to adapt the reconstructive plan to the characteristics from each patient. |
| first_indexed | 2024-12-22T22:26:06Z |
| format | Article |
| id | doaj.art-2d2c35ce5ed54b21aee1c0fa891389a1 |
| institution | Directory Open Access Journal |
| issn | 1698-8396 1698-840X |
| language | English |
| last_indexed | 2024-12-22T22:26:06Z |
| publishDate | 2021-11-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Iberoamericana de Cirugía de la Mano |
| spelling | doaj.art-2d2c35ce5ed54b21aee1c0fa891389a12022-12-21T18:10:33ZengThieme Revinter Publicações Ltda.Revista Iberoamericana de Cirugía de la Mano1698-83961698-840X2021-11-014902e160e16410.1055/s-0041-1731769Reconstructive Principles for the Metacarpal Hand: Case ReportIker Miguel Escuredo0Guillermo Ibarrondo Arzua1Juan José García Gutierrez2Plastic Aesthetic and Reconstructive Surgery Department, Cruces University Hospital, Barakaldo, Bizkaia, SpainPlastic Aesthetic and Reconstructive Surgery Department, Cruces University Hospital, Barakaldo, Bizkaia, SpainPlastic Aesthetic and Reconstructive Surgery Department, Cruces University Hospital, Barakaldo, Bizkaia, SpainMetacarpal hand is one of the most devastating upper-extremity lesions. We report a case of a multidigit amputation corresponding to a Wei et al.5 IA metacarpal hand in a 56 year-old-male. He underwent a sequential toe-to-hand transfer to the third and fourth radii. Reconstruction of the metacarpal hand, either in an acute or deferred presentation, must consider some reconstructive principles, including the identification of the structures to be spared and the coverage strategies for the acute stage. Toe-to-hand transfer is the preferred technique when replantation is not an option. It is critical to know which structures should be transferred to which positions, as well as to adapt the reconstructive plan to the characteristics from each patient.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731769metacarpal handtoe-to-handamputation |
| spellingShingle | Iker Miguel Escuredo Guillermo Ibarrondo Arzua Juan José García Gutierrez Reconstructive Principles for the Metacarpal Hand: Case Report Revista Iberoamericana de Cirugía de la Mano metacarpal hand toe-to-hand amputation |
| title | Reconstructive Principles for the Metacarpal Hand: Case Report |
| title_full | Reconstructive Principles for the Metacarpal Hand: Case Report |
| title_fullStr | Reconstructive Principles for the Metacarpal Hand: Case Report |
| title_full_unstemmed | Reconstructive Principles for the Metacarpal Hand: Case Report |
| title_short | Reconstructive Principles for the Metacarpal Hand: Case Report |
| title_sort | reconstructive principles for the metacarpal hand case report |
| topic | metacarpal hand toe-to-hand amputation |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731769 |
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